Individual provider Active NPI

Miranda Eddy Talmage, CPNP-PC

  • Pediatric Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1952917502
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-144300 Issued in AL
Practice address
1508 Cogswell Ave
Pell City, AL 35125-1243
Phone
(256) 418-4300
Fax
(888) 827-8932
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-144300 AL Primary

Addresses

Primary practice location

1508 Cogswell Ave
Pell City, AL 35125-1243

Mailing address

1100 Birchall LN Apt 306
Hoover, AL 35226-6444
Phone (205) 317-7175

Other practice location 1

2343 2nd Ave E
Oneonta, AL 35121-2756
Phone (205) 625-3332

Other practice location 2

801 North St E
Talladega, AL 35160-2529
Phone (256) 418-4301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-144300ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Up Pediatrics, P.C. Past Accepting new patients
Smart Care, LLC PastSince Sep 27, 2020 Accepting new patients
Horizon Medical Clinic LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1952917502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BIRCHALL LN APT 306",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352266444",
            "telephone_number": "205-317-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251243",
            "telephone_number": "256-418-4300",
            "fax_number": "888-827-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2343 2nd Ave E",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "AL",
            "postal_code": "351212756",
            "country_code": "US",
            "telephone_number": "205-625-3332",
            "fax_number": "205-625-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 North St E",
            "address_purpose": "LOCATION",
            "city": "Talladega",
            "state": "AL",
            "postal_code": "351602529",
            "country_code": "US",
            "telephone_number": "256-418-4301",
            "fax_number": "888-827-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALMAGE",
        "first_name": "MIRANDA",
        "middle_name": "EDDY",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-144300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.